Waiver and Consent Form Informed ConsentInformed Consent - Assumed Risk and Body Massage I understand that massage therapy given here is for the sole purpose of stress reduction, relief from muscular tension or for increasing circulation. I understand that the massage therapist does not diagnosis illness, disease or any other physical/mental disorder. As such, the massage therapist does not prescribe medical treatment or pharmaceuticals, nor do they perform and spinal manipulations. Massage therapy is not a substitute for medical examinations or diagnosis. It is recommended that you see a physician for any physical alignment that you might have. I agree that I do not have any past/current medical conditions that may be affected by massage. I assume all risk of injury, damages, cost, fees, claims from my participation. I agree that I shall not take any medical advice from the Massage Therapist at Treat Your Feet. We are not doctor's offices or physical therapist offices. Treat Your Feet does not accept insurance or health benefits cards, nor do we keep records and we do not provide insurance companies with any information. Informed Consent - Waiver and Release of Liability Massage Therapist must be aware of existing physical conditions. I agree that I have stated and informed Treat Your Feet and the massage therapist of any and all medical conditions and I will keep the therapist updated as any health issues or conditions may change. I understand that response to any treatment varies on an individual basis and that specific results are not guaranteed. Therefore, in consideration for any treatments received, I agree to hold harmless. indemnify, defend and release any liability of employees at Treat Your Feet, its affiliates, any related entities, employees, contractors, agents and personnel for any condition or result, known or unknown that may arise as a consequence, and or all damages, injuries, cost, fees, claims of any massage that I receive including but not limited to any accidental touching, sexual misconducts described herein.Company PolicyCompany Policy - Customer Notice of Prohibiting Sexual Misconduct Treat Your Feet does not tolerate any sexual misconduct by its employees or its patrons. Sexual misconduct is strictly prohibited in the workplace. There is absolutely no illicit or sexually suggestive remarks nor, are employees, contractors, agents or personnel allowed to display any type of sexual misconduct to other staff members or customers. I understand that during any body massage I am to wear underwear to prevent any accidental touching. If there is any accidental touching it is your responsibility to notify the massage therapist immediately. If this occurs again after you have notified your therapist, stop the massage immediately and notify management right away. Notwithstanding and in addition to the above, you must notify management immediately, do not pay your bill, or if you leave the premises.NoticeNotice - Medical Conditions If you notice any of the following conditions, please see your doctor for their approval prior to obtaining a massage: Tendon/muscle ruptures, blood clots, vascular dysfunction, bursitis, burns, artificial blood vessels, pregnant or a high risk pregnancy, skin infections, skin lesions/open wounds/sores, any infectious disease, herpes, rashes, cancers, irregular feelings, light headed, trouble breathing or heart attacks. If you have been diagnosed or experiencing any of the above, please contact your doctor, notify Treat Your Feet and the Therapist prior to booking your appointment and notify Treat Your Feet, the employees, the Therapist and note on the intake form prior to receiving any service from Treat Your Feet to see if your services can be provided. I will also notify Treat Your Feet and the Therapist should I become pregnant or if I am in the process of trying to get pregnant so that the therapist can avoid points that may induce labor/miscarriage. Notice - Personal Belongings I agree that I will be solely responsible for all of my personal belongings including but not limited to: Jewelry, cell phones or electronic that I bring and /or leave at the premises. I fully release and indemnify Treat Your Feet and its affiliates as they are not liable for any of my personal belongings.Covid-19Coronavirus Assumption of Risk and Waiver I, the customer, acknowledges and agrees that Treat Your Feet shall use reasonable efforts to prevent the spread of the coronavirus and follow the guidelines recommended by the center for disease control, however based on the nature of massage treatment and contact, I agree to assume any and all risk, loss, or damages, in the event that I contract Covid-19 / Coronavirus and to hold harmless, indemnify, and release Treat Your Feet, its affiliates, any related entities, employees, contractors, agents and personnel from any and all related damages, costs, fees, or losses. I agree to follow the CDC's guidelines found at www.cdc.gov.Name* First Last Phone*Any Medical Conditions?*YesNoWhat type of medical condition(s) do you have?*Appointment Time*Select Time10:30 am11:45 am1:00 pm2:15 pm3:30 pm4:45 pm6:00 pm7:15 pm8:30 pmSignature*By signing, you agree that you have read all disclaimers, consents and notices that are provided on the website and at each Treat Your Feet location.